DOI: https://doi.org/10.36347/sjams.2025.v13i07.023

Pages: 1500-1505

Background: Anterior Cruciate Ligament (ACL) injuries are common among physically active individuals and often coexist with meniscal tears. The co-occurrence may impact clinical outcomes, treatment strategies, and long-term joint health. Aim: This study aims to assess the association between meniscal tears and ACL injuries, analyzing their patterns, frequency, and implications. Methods: A retrospective cross-sectional study was conducted at Bangladesh Medical University (PG Hospital), Dhaka, Bangladesh from July 2024 to June 2025. A total of 62 patients diagnosed with ACL injuries confirmed via MRI or arthroscopy were evaluated. Clinical data, imaging findings, and intraoperative reports were analyzed to detect concurrent meniscal tears and determine laterality (Medial/Lateral), location (Anterior horn/Body/Posterior horn) and type (Longitudinal/Radial/Horizontal/Complex) of tear. Results: Among the 62 patients with ACL injuries, 45 (72.58%) had associated meniscal tears. Medical meniscus involvement was found in 24 (38.7%) cases, lateral meniscus in 15 (24.2%), and both in 6 (9.7%). Longitudinal tears were the most common types about 40%. A significant correlation was observed between chronic ACL injuries and increased prevalence of medial meniscus tears (p < 0.05). Younger patients (<30 years) acute cases showed a higher prevalence of lateral meniscus tears. The posterior horn of the meniscus was the most commonly affected site, accounting for 62.22% of tears. Conclusion: There is a strong association between ACL injuries and meniscal tears, particularly lateral meniscus in acute injuries and medial meniscus in chronic cases. Early diagnosis and management of combined injuries are vital for optimal functional recovery and prevention of long-term degenerative changes.